Agency
Thresholds INC
Thresholds INC was paid $44.30M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 68% of everything it billed.
33Billing provider infoTHRESHOLDS INC
GRAND RAPIDS, MI 49508
GRAND RAPIDS, MI 49508
33aNPI1154403467assigned 10/19/2006
33bProvider typeCase Management Agency
28Total paid$44.30M
24GClaims303,531
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Michigan
Rank by total paid#6 of 80
Median peer was paid$922K
This provider vs. median48×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 31,455 | $8.27M | |
| 2019 | 54,639 | $6.72M | |
| 2020 | 46,680 | $5.90M | |
| 2021 | 45,503 | $5.74M | |
| 2022 | 42,130 | $5.49M | |
| 2023 | 44,442 | $6.11M | |
| 2024incomplete | 38,682 | $6.09M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 68% | 124,709 | 4,953 | $30.08M |
| T1020 | Help at home with daily living, billed per dayPersonal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | 16% | 124,876 | 4,952 | $7.11M |
| T1016 | Case management, each 15 minutes | 5.7% | 13,928 | 12,823 | $2.54M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 4.2% | 19,980 | 3,569 | $1.88M |
| T2022 | Case management, per month | 3.4% | 6,263 | 6,263 | $1.52M |
| T1005 | Respite care services, up to 15 minutes | 1.9% | 11,233 | 3,192 | $838K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 2,488 | 2,111 | $293K |
| T2011 | Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation | <1% | 42 | 42 | $45K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | <1% | 12 | 12 | $9K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialROGERS, PHOEBE (REIMBURSEMENT SPECIALIST)